Routine inspection·January 12, 2024

Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with, Administrator, Analisa Cayabyab, who was informed of the purpose of the visit. At time of visit there were (9) clients and (3) staff present. The facility is a one story home with (6) bedrooms and (3) bathrooms with attached garage. The facility does have a pool which has a locked gate surrounding it. No fire arms are kept at the facility. The facility is designated as a residential care facility for the elderly serving elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Infection Control: LPA observed the hand washing stations in the facility hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards and contained outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational, and the hot water temperature 115F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Record Review and Resident/Staff Files: LPA reviewed staff files and training that contained staff criminal clearance and CPR/First Aid. The annual training for (2) staff were not available for review during the time of the visit. Deficiency was cited and plan of correction was documented with staff. Technical advisory note was documented for staff to provide the written staff schedule to LPA. Resident files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in a cabinet. LPA reviewed client medications for residents and found all medication listed and all required labeling was found to be in place. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA was informed the last drill was conducted in April of 2023. Deficiency was cited for facility to conduct drills when required. Plan of correction was created with administrator. LPA observed all facility exits were clear from obstructions. An exit interview was conducted where this report, deficiency page, and appeal rights were reviewed and provided to Administrator, Analisa Cayabyab.